| NPI | 1376016410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELL NICOLE LUCAS Owner 214-587-8655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2022-12-15 |